Most Relevant Information
Provider Data
| NPI Number: | 1003539354 |
| Provider Name: | MARGENIS PEREZ GOMEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1257 |
Most Important Dates
| Enumeration Date: | 09/21/2022 |
| Last Updated: | 11/23/2022 |
Provider Practice Location
371 CALLE DE DIEGO
SAN JUAN
PR
009233002
Practice Location Phone/Fax
| Phone: | 7877675100 |
| Fax: |
Provider Mailing Location
371 CALLE DE DIEGO
SAN JUAN
PR
009233002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |